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General NPI Number Information
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NPI Number | 1851276133
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Entity Type | Organization
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Legal Business Name | SG1 DENTAL LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 3528 SAINT LAWRENCE AVE
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City | READING
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State | PA
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Zip | 19606-2325
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Country | US
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Telephone | 610-779-3880
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Fax | 610-779-0365
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Provider Business Mailing Address
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Address Line | 3528 SAINT LAWRENCE AVE
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City | READING
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State | PA
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Zip | 19606-2325
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Country | US
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Telephone | 610-779-3880
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Fax | 610-779-0365
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Authorized Official
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Title or Position | OWNER
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Name | DEEPSHIKHA KAPOOR
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Credential | DMD
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Telephone | 240-351-9132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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